Form 990-PF Return of Private Foundation
Total Page：16
File Type：pdf, Size：1020Kb
Form 990-PF Return of Private Foundation OMB No 1545-0052 or Section 4947(a)(1) Nonexempt Charitable Trust Department of the Treasury Treated as a Private Foundation X011 Internal Revenue Service Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements For calendar year 2011 or tax year beginning , 2011, and ending ,20 Name of foundation A Employer Identification number Saint-Gobain Corporation Foundation 23-7423043 Number and street (or P 0 box number if mail is not delivered to street address) Room/suite B Telephone number (see instructions) 750 E . Swedesford Rd 610-341-7000 City or town , state, and ZIP code q C If exemption application is pending , check here ► Valley Forge , PA 19482 q q q G Check all that apply: Initial return Initial return of a former public chanty D 1. Foreign organizations , check here ► q q Amended return Final return 2. Foreign organizations meeting the 85% test, q q Name change q Address change check here and attach computation ► organization Section exempt private foundation H Check type of : ] 501 (c)(3) E If private foundation status was terminated under q q q Section 4947 (a)( 1 ) nonexem pt charitable trust Other taxable private foundation section 507 (b)(1)(A), check here ► q I Fair market value of all assets at J Accounting method : 2 Cash Accrual F If the foundation is in a 60-month termination q end of year (from Part ll, col. (c), q Other (specify) under section 507(b)(1)(B), check here ► line 16) ► $ NONE (Part 1, column (d) must be on cash basis.) lEEM Analysis of Revenue and Expenses (The total of (d) Disbursements (a) Revenue and Net investment (c) Adjusted net for charitable expenses per (b) amounts in columns (b), (c), and (d) may not necessanly equal income income purposes the amounts in column (a) (see instructions)) books (cash basis only) 1 Contributions , gifts, grants, etc., received (attach schedule) 1,182,481 2 Check lo- q If the foundation is not required to attach Sch. B 3 Interest on savings and temporary cash investments 4 Dividends and interest from securities . 5a Gross rents . b Net rental income or (loss) 4) 6a Net gain or (loss) from sale of assets not on line 10 C b Gross sales price for all assets on line 6a > 7 Capital gain net income (from Part IV, line 2) 8 Net short-term capital gain . 9 Income modifications . 10a Gross sales less returns and allowances b Less : Cost of goods sold . c Gross profit or (loss) (attach schedule) 11 Other income (attach schedule) . 12 Total. Add lines 1 throu g h 11 1 , 182,481 y 13 Compensation of officers , directors , trustees, etc. 14 Other employee salaries and ges . 15 Pension plans , employee nefI X 16a Legal fees (attach sc ^ . W b Accounting fees a0i s\ e'du u^ c Other profe o K)e s (attacb sc O L 17 Intere . `Ln^ 18 Tax (attac chedule)Xs a instru t s) £ 19 Depr ia n (attach schedu etlon Q 20 Occup. 21 Travel , c f nc nd etings . CI 22 Printing an publ ations . G c 23 Other expen s (attach schedule) STATEMENT • 1 8,786 8,786 24 Total operating and administrative expenses. Add lines 13 through 23 . 8,786 8,786 ^J2 O 25 Contributions, gifts, grants paid 1,173,695 1,173,695 26 Total expenses and disbursements. Add lines 24 and 25 1,182,481 1 , 182,481 27 Subtract line 26 from line 12: a Excess of revenue over expenses and disbursements NONE b Net investment income (if negative, enter -0-) c Adjusted net income (if negative, enter -0- For Paperwork Reduction Act Notice, see instructions. Cat No 11289X Form 990-PF (2011) 1 Form 990-PF (2011) Page 2 Attached schedules and amounts in the description column Beginning of year End of year l Ba ance Sheets should be for end-of-year amounts only (See instructions ) (a) Book Value (b) Book Value (c) Fair Market Value 1 Cash-non-interest-bearing . 2 Savings and temporary cash investments . 3 Accounts receivable ► - - - Less: allowance for doubtful-------------------------------------------------------accounts - ► ------------------------------- 4 Pledges receivable ► -------------------------------------------------------- Less: allowance for doubtful accounts ► ----------- - ------------------- 5 Grants receivable . NONE NONE NONE 6 Receivables due from officers, directors, trustees, and other disqualified persons (attach schedule) (see instructions) . 7 Other notes and loans receivable (attach schedule) 11'-- ------------------------- Less: allowance for doubtful accounts ►------------------------------------- 8 Inventories for sale or use . H 9 Prepaid expenses and deferred charges . Q 10a Investments-U.S. and state government obligations (attach schedule) b Investments-corporate stock (attach schedule) c Investments-corporate bonds (attach schedule) 11 Investments-land, buildings, and equipment, basis ► Less: accumulated depreciation (attach schedule) 0m- 12 Investments-mortgage loans . .-------------------------. 13 Investments-other (attach schedule) . 14 Land, buildings, and equipment: basis ► Less: accumulated depreciation (attach schedule) ► ------------------ 15 Other assets (describe ) ► ---------------------------------------------- 16 Total assets (to be completed by all filers-see the instructions. Also, see page 1, item I) . NONE NONE NONE 17 Accounts payable and accrued expenses . NONE NONE U) 18 Grants payable . 19 Deferred revenue 20 Loans from officers, directors, trustees, and other disqualified persons 21 Mortgages and other notes payable (attach schedule) . J 22 Other liabilities (describe ► ) 23 Total liabilities (add lines 17 through 22) . NONE NONE q U) Foundations that follow SFAS 117, check here . ► 4) and complete lines 24 through 26 and lines 30 and 31. 24 Unrestricted . m 25 Temporarily restricted . 26 Permanently restricted . q Z Foundations that do not follow SFAS 117, check here ► LL and complete lines 27 through 31. 0 27 Capital stock, trust principal, or current funds . 28 Paid-in or capital surplus, or land, bldg., and equipment fund 29 Retained earnings, accumulated income, endowment, or other funds a 30 Total net assets or fund balances (see instructions) . NONE NONE 31 Total liabilities and net assets/fund balances (see Z instructions) . NONE NONE F*7ME Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or fund balances at beginning of year-Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year's return) . 1 NONE 2 Enter amount from Part I, line 27a . 2 NONE 3 Other increases not included in line 2 (itemize) ► ___________________________________ __ __ __ _ __________ _ _________________ 3 4 Add lines 1, 2, and 3 . 4 NONE 5 Decreases not included in line 2 (itemize) ► - -- --- ---- --- -- - -- -- ----- - ---------- ---- 5 6 Total net assets or fund balances at end of year (line 4 minus line 5)-Part II, column (b), line---- 30 . 6 NONE Form 990-PF (2011) Form 990-PF (2011) Page 3 Capital Gains and Losses for Tax on Investment Income (a) List and describe the kind(s) of property sold (e g , real estate . (b) How acquired (c) Date acquired (d) Date sold 2-story buck warehouse or common stock , 200 shs MLC P-Purchase (mo yr.) (mo , day, , Co) D- Donation , day, yr) to b c d e Depreciation allowed (g) Cost or other basis (h) Gain or (loss) (e) Gross sales puce (f) (or allowable) plus expense of sale (e) plus (f) minus (g) a b c d e Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus Adjusted basis (k) Excess of col (q col (k), but not less than -0-) or (f) F M V as of 12/31 /69 U) as of 12/31/69 over col 0), if any Losses (from col (h)) a b c d e If gain, also enter in Part I, line 7 2 Capital gain net income or (net capital loss) 1 If (loss), enter -0- in Part I, line 7 2 3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6): If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- In l Part I, line 8 . J 3 Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income (For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.) If section 4940(d)(2) applies, leave this part blank. Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? q Yes q No If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part. 1 Enter the appropriate amount in each column for each year; see the instructions before making any entries. (a) (b) (c) (d) Base period years Distribution ratio Calendar year (or tax year beginning in) Adjusted qualifying distributions Net value of nonchantable- use assets (col (b) divided by col (c)) 2010 NONE 2009 NONE 2008 NONE 2007 NONE 2006 NONE 2 Total of line 1, column (d) . 2 NONE 3 Average distribution ratio for the 5-year base period-divide the total on line 2 by 5, or by the number of years the foundation has been in existence if less than 5 years . 3 4 Enter the net value of noncharltable-use assets for 2011 from Part X, line 5 . 4 5 Multiply line 4 by line 3 . 5 6 Enter 1 % of net investment income (1 % of Part I, line 27b) . 6 7 Add lines 5 and 6 . 7 8 Enter qualifying distributions from Part XII, line 4 . 8 1 ,182,481 If line 8 is equal to or greater than line 7, check the box in Part VI, line 1 b, and complete that part using a 1 % tax rate .